Individual
CLINTON THOMAS TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7334 SPOUT SPRINGS RD, FLOWERY BRANCH, GA 30542-5543
(770) 967-4103
(770) 967-7932
Mailing address
7334 SPOUT SPRINGS RD, FLOWERY BRANCH, GA 30542-5543
(770) 967-4103
(770) 967-7932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH12558
SC
183500000X
Pharmacist
Primary
RPH024767
GA
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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